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Prevalence of undernutrition in Bangladeshi children

Published online by Cambridge University Press:  29 October 2019

Md. Sazedur Rahman Open the ORCID record for Md. Sazedur Rahman [Opens in a new window] ,
Md. Ashfikur Rahman ,
Md. Maniruzzaman  and
Md. Hasan Howlader
Md. Sazedur Rahman*
Affiliation:
Statistics Discipline, Khulna University, Khulna, Bangladesh
Md. Ashfikur Rahman
Affiliation:
Development Studies Discipline, Khulna University, Khulna, Bangladesh
Md. Maniruzzaman
Affiliation:
Statistics Discipline, Khulna University, Khulna, Bangladesh
Md. Hasan Howlader
Affiliation:
Development Studies Discipline, Khulna University, Khulna, Bangladesh
*
*Corresponding author. Email: [email protected]
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Abstract

Child undernutrition is a major public health problem throughout the world, particularly in developing countries. The main objective of this study was to identify the risk factors for acute undernutrition among under-5 children in Bangladesh. Data were taken from the nationally representative Bangladesh Demographic Health and Survey conducted in 2014. The study sample comprised 7131 under-5 children. Of these, 4.6% were found to be severely wasted (Z-score < −3.0), 11.1% moderately wasted (−3.0≤Z-score < −2.0) and 84.3% adequately nourished (Z-score ≥−2.0). Chi-squared analysis was used to investigate the association between child nutrition status and selected covariates. Multinomial logistic regression was applied to identify the risk factors for acute undernutrition. The selected factors division, place of residence, sex of child, place of delivery, child age, respiratory illness, size at birth, measles vaccination, fever, diarrhoea, maternal BMI, maternal education, paternal occupation, wealth index and household toilet facilities were found to be highly significant (p < 0.05) in the analysis. Multinomial regression analysis revealed that residence in Barisal and Chittagong divisions, a smaller than average size at birth and low maternal BMI (≤18.50 kg/m2) were significant determinants of both moderate and severe acute undernutrition among under-5 children in Bangladesh.

Keywords

Acute undernutritionWeight-for-ageWasting
Type
Research Article
Information
Journal of Biosocial Science , Volume 52 , Issue 4 , July 2020 , pp. 596 - 609
Copyright
© Cambridge University Press 2019

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References

Aheto, JM, Keegan, TJ, Taylor, BM and Diggle, PJ (2015) Childhood malnutrition and its determinants among under-five children in Ghana. Paediatric and Perinatal Epidemiology 29(6), 552–561.CrossRefGoogle ScholarPubMed
Akombi, B, Agho, K, Merom, D, Hall, J and Renzaho, A (2017) Multilevel analysis of factors associated with wasting and underweight among children under-five years in Nigeria. Nutrients 9(1), 44.CrossRefGoogle ScholarPubMed
Alom, J, Islam, MA and Quddus, M (2009) Socioeconomic factors influencing nutritional status of under-five children of Agrarian families in Bangladesh: a multilevel analysis. Bangladesh Journal of Agricultural Economics 32(454-2016-36445), 63–74.Google Scholar
Alom, J, Quddus, MA and Islam, MA (2012) Nutritional status of under-five children in Bangladesh: a multilevel analysis. Journal of Biosocial Science 44(5), 525–535.CrossRefGoogle ScholarPubMed
Ambadekar, NN and Zodpey, SP (2017) Risk factors for severe acute malnutrition in under-five children: a case-control study in a rural part of India. Public Health 142, 136–143.CrossRefGoogle Scholar
Amsalu, S and Tigabu, Z (2008) Risk factors for ever acute malnutrition in children under the age of five: a case-control study. Ethiopian Journal of Health Development 22(1), 21–25.CrossRefGoogle Scholar
Ayana, AB, Hailemariam, TW and Melke, AS (2015) Determinants of acute malnutrition among children aged 6–59 months in Public Hospitals, Oromia region, West Ethiopia: a case-control study. BMC Nutrition 1(1), 34.CrossRefGoogle Scholar
Black, RE, Allen, LH, Bhutta, ZA, Caulfield, LE, De Onis, M, Ezzati, Met al. (2008) Maternal and child undernutrition: global and regional exposures and health consequences. The Lancet 371(9608), 243–260.CrossRefGoogle ScholarPubMed
Black, RE, Victora, CG, Walker, SP, Bhutta, ZA, Christian, P, De Onis, Met al. (2013) Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet 382(9890), 427–451.CrossRefGoogle ScholarPubMed
Chowdhury, MR, Rahman, MS, Khan, MM, Mondal, MN, Rahman, MM and Billah, B (2016) Risk factors for child malnutrition in Bangladesh: a multilevel analysis of a nationwide population-based survey. Journal of Pediatrics 172, 194–201.CrossRefGoogle ScholarPubMed
Chowdhury, S, Banu, LA, Chowdhury, TA, Rubayet, S and Khatoon, S (2011) Achieving Millennium Development Goals 4 and 5 in Bangladesh. BJOG: An International Journal of Obstetrics & Gynaecology 118, 36–46.CrossRefGoogle ScholarPubMed
Collins, S, Dent, N, Binns, P, Bahwere, P, Sadler, K and Hallam, A (2006) Management of severe acute malnutrition in children. The Lancet 368(9551), 1992–2000.CrossRefGoogle ScholarPubMed
Dabale, GA and Sharma, MK (2014) Determinants of wasting among under-five children in Ethiopia: a multilevel logistic regression model approach. International Journal of Statistics in Medical Research 3(4), 368–377.CrossRefGoogle Scholar
Das, S and Gulshan, J (2017) Different forms of malnutrition among under five children in Bangladesh: a cross sectional study on prevalence and determinants. BMC Nutrition 3(1), 1.CrossRefGoogle Scholar
Das, S and Rahman, RM (2011) Application of ordinal logistic regression analysis in determining risk factors of child malnutrition in Bangladesh. Nutrition Journal 10(1), 124.CrossRefGoogle ScholarPubMed
de Onis, M, Brown, D, Blossner, M and Borghi, E (2015) Levels and Trends in Child Malnutrition. Joint Child Malnutrition Estimates. Technical Report, UNICEF, WHO, Geneva, and World Bank, Washington, DC.Google Scholar
Demissie, S and Worku, A (2013) Magnitude and factors associated with malnutrition in children 6–59 months of age in pastoral community of Dollo Ado district, Somali region, Ethiopia. Science Journal of Public Health 1(4), 175–183.CrossRefGoogle Scholar
Fuchs, C, Sultana, T, Ahmed, T and Hossain, Iqbal (2014) Factors associated with acute malnutrition among children admitted to a diarrhoea treatment facility in Bangladesh. International Journal of Pediatrics 17(6), 785–790.Google Scholar
Groenewold, WG and Tilahun, M (1990) Anthropometric indicators of nutritional status, socioeconomic factors and mortality in hospitalized children in Addis Ababa. Journal of Biosocial Science 22(3), 373–379.CrossRefGoogle ScholarPubMed
Habyarimana, F (2016) Key determinants of malnutrition of children under five years of age in Rwanda: simultaneous measurement of three anthropometric indices. African Population Studies 30(2), 2328–2340.Google Scholar
Hasan, MT, Soares Magalhaes, RJ, Williams, GM and Mamun, AA (2016) The role of maternal education in the 15-year trajectory of malnutrition in children under 5 years of age in Bangladesh. Maternal & Child Nutrition 12(4), 929–939.CrossRefGoogle ScholarPubMed
Khan, GN, Ariff, S, Khan, U, Habib, A, Umer, M, Suhag, Zet al. (2017) Determinants of infant and young child feeding practices by mothers in two rural districts of Sindh, Pakistan: a cross-sectional survey. International Breastfeeding Journal 12(1), 40.CrossRefGoogle Scholar
Khanam, R, Nghiem, HS and Rahman, MM (2011) The impact of childhood malnutrition on schooling: evidence from Bangladesh. Journal of Biosocial Science 43(4), 437–451.CrossRefGoogle ScholarPubMed
Meshram, II, Arlappa, N, Balakrishna, N, Rao, KM, Laxmaiah, A and Brahmam, GN (2012) Trends in the prevalence of undernutrition, nutrient and food intake and predictors of undernutrition among under five year tribal children in India. Asia Pacific Journal of Clinical Nutrition 21(4), 568–576.Google ScholarPubMed
Mishra, K, Kumar, P, Basu, S, Rai, K and Aneja, S (2014) Risk factors for severe acute malnutrition in children below 5 y of age in India: a case-control study. Indian Journal of Pediatrics 81(8), 762–765.CrossRefGoogle Scholar
Mohsena, M, Goto, R and Mascie-Taylor, CGN (2017) Socioeconomic and demographic variation in nutritional status of under-five Bangladeshi children and trend over the twelve-year period 1996–2007. Journal of Biosocial Science 49(2), 222–238.CrossRefGoogle ScholarPubMed
Munirul Islam, M, Arafat, Y, Connell, N, Mothabbir, G, McGrath, M, Berkley, JAet al. (2019) Severe malnutrition in infants aged < 6 months. Outcomes and risk factors in Bangladesh: a prospective cohort study. Maternal & Child Nutrition 15(1), e12642.CrossRefGoogle ScholarPubMed
Musa, MK, Muhammad, F, Lawal, KM, Chowdhury, AA and Hossain, A (2017) Risk factors of severe acute malnutrition among under-five children: a hospital-based study in Bangladesh. Journal of Medical Sciences and Health 3(3), 13–21.CrossRefGoogle Scholar
NIPORT, Mitra and Associates and ICF International (2016) Bangladesh Demographic and Health Survey 2014. National Institute of Population Research and Training (NIPORT), Bangladesh, Dhaka; Mitra and Associates, and ICF International.Google Scholar
Olita’a, D, Vince, J, Ripa, P and Tefuarani, N (2014) Risk factors for malnutrition in children at Port Moresby General Hospital, Papua New Guinea: a case-control study. Journal of Tropical Pediatrics 60(6), 442–448.CrossRefGoogle ScholarPubMed
Ortiz, J, Van Camp, J, Wijaya, S, Donoso, S and Huybregts, L (2014) Determinants of child malnutrition in rural and urban Ecuadorian highlands. Public Health Nutrition 17(9), 2122–2230.CrossRefGoogle Scholar
Pasricha, SR and Biggs, BA (2010) Undernutrition among children in South and South-East Asia. Journal of Paediatrics and Child Health 46(9), 497–503.CrossRefGoogle ScholarPubMed
Pelletier, DL and Frongillo, EA (2003) Changes in child survival are strongly associated with changes in malnutrition in developing countries. Journal of Nutrition 133(1), 107–119.CrossRefGoogle ScholarPubMed
Phengxay, M, Ali, M, Yagyu, F, Soulivanh, P, Kuroiwa, C and Ushijima, H (2007) Risk factors for protein–energy malnutrition in children under 5 years: study from Luangprabang province, Laos. Pediatrics International 49(2), 260–265.CrossRefGoogle ScholarPubMed
Pravana, NK, Piryani, S, Chaurasiya, SP, Kawan, R, Thapa, RK and Shrestha, S (2017) Determinants of severe acute malnutrition among children under 5 years of age in Nepal: a community-based case-control study. BMJ Open 7(8), e017084.CrossRefGoogle ScholarPubMed
Rabbi, AM and Karmaker, SC (2015) Determinants of child malnutrition in Bangladesh: a multivariate approach. Asian Journal of Medical Sciences 6(2), 85–90.CrossRefGoogle Scholar
Rahman, A and Chowdhury, S (2007) Determinants of chronic malnutrition among preschool children in Bangladesh. Journal of Biosocial Science 39(2), 161–173.CrossRefGoogle ScholarPubMed
Rahman, A, Chowdhury, S and Hossain, D (2009) Acute malnutrition in Bangladeshi children: levels and determinants. Asia Pacific Journal of Public Health 21(3), 294–302.CrossRefGoogle ScholarPubMed
Rahman, A and Rahman, MS (2019) Rural–urban differentials of childhood malnutrition in Bangladesh. International Journal of Child Health and Nutrition 8(1), 35–42.CrossRefGoogle Scholar
Rahman, MM (2015) Is unwanted birth associated with child malnutrition in Bangladesh? International Perspectives on Sexual and Reproductive Health 41(2), 80–88.CrossRefGoogle ScholarPubMed
Rajaram, S, Sunil, TS and Zottarelli, LK (2003) An analysis of childhood malnutrition in Kerala and Goa. Journal of Biosocial Science 35(3), 335–351.CrossRefGoogle ScholarPubMed
Rayhan, MI and Khan, MS (2006) Factors causing malnutrition among under five children in Bangladesh. Pakistan Journal of Nutrition 5(6), 558–562.Google Scholar
Shetty, P (2003) Malnutrition and undernutrition. Medicine 31(4), 18–22.CrossRefGoogle Scholar
Souza, OF, Benício, MH, Castro, TG, Muniz, PT and Cardoso, MA (2012) Malnutrition among children under 60 months of age in two cities of the state of Acre, Brazil: prevalence and associated factors. Revista Brasileira de Epidemiologia 15(1), 211–221.CrossRefGoogle ScholarPubMed
Torlesse, H and Aguayo, VM (2018) Aiming higher for maternal and child nutrition in South Asia. Maternal & Child Nutrition 14, e12739.CrossRefGoogle ScholarPubMed
UNICEF (2009) Tracking Progress on Child and Maternal Nutrition: A Survival and Development Priority. UNICEF Division of Communication.Google Scholar
UNICEF, WHO and World Bank Group (2018) Joint Child Malnutrition Estimates 2018 Edition. URL: http://www.who.int/nutgrowthdb/estimates2017/en/ (accessed 14th April, 2019).Google Scholar
van Cooten, MH, Bilal, SM, Gebremedhin, S and Spigt, M (2019) The association between acute malnutrition and water, sanitation, and hygiene among children aged 6–59 months in rural Ethiopia. Maternal & Child Nutrition 15(1), e12631.Google ScholarPubMed
WHO (2006) WHO Child Growth Standards. WHO, Geneva.Google Scholar
WHO (2010) Anthro for Personal Computers, Version 3.2. 2, 2011: Software for Assessing Growth and Development of the World’s Children. WHO, Geneva.Google Scholar